Correction of Severe Dermatochalasis in Asians Using an Extended Infrabrow Excision

Shortened Infrabrow Excision Blepharoplasty Combined with the Removal of Orbicularis Oculi Muscle for Dermatochalasis in Asians

“…1 Various excision approaches are commonly used to combat lateral drooping ranging from suprabrow excision blepharoplasty 2 and infrabrow excision blepharoplasty (IBEB) [3][4][5][6][7] to upper eyelid excision blepharoplasty; 8 among these, IBEB is most frequently performed in Asians. To counteract postoperative alterations in brow-eye ratio and inadequate correction of severe upper lid laxity, which cannot be corrected through IBEB, modified excision surgeries, such as transbrow excision blepharoplasty 9 and extended IBEB, 10,11 have been advocated. However, these 2 approaches require an extension of the incision into the brow, resulting in apparent scars and postoperative changes in the eyebrow shape.…”